NPIMap

Organization Active NPI

Cath Char Nghbhd SVS McLees Icf

  • Intellectual Disabilities Intermediate Care Facility
  • Saint Albans, NY
National Provider Identifier
1861535916
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
CATH CHAR NGHBHD SVS MCLEES ICF
Practice address
11216 200TH St
Saint Albans, NY 11412-2128
Phone
(718) 217-0285
NPI assigned
Feb 15, 2007
Last updated
Jul 9, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
CATHOLIC CHARITIES NEIGHBORHOOD SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Donna Corrado
Title
Executive Secretary
Phone
(718) 722-6123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X NY Primary

Addresses

Primary practice location

11216 200TH St
Saint Albans, NY 11412-2128

Mailing address

191 Joralemon St
9TH Floor
Brooklyn, NY 11201-4306
Phone (718) 722-6180

Other identifiers 1

IdentifierTypeStateIssuer
01128858MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Cath Char Nghbhd SVS Straus Icf32 organizations share this tax ID, including this one
Part of
Cath Char Nghbhd SVS Straus Icf

Other organizations with this tax ID 31

Organizations that report the same tax identification number in the National Provider Directory.

View all 31

Locations

11216 200th St
Saint Albans, NY 11412
Phone (718) 217-0285

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1861535916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 JORALEMON ST",
            "address_2": "9TH FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014306",
            "telephone_number": "718-722-6180",
            "fax_number": "718-722-6219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11216 200TH ST",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114122128",
            "telephone_number": "718-217-0285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATH CHAR NGHBHD SVS MCLEES ICF",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CATHOLIC CHARITIES NEIGHBORHOOD SERVICES, INC.",
        "enumeration_date": "2007-02-15",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "CORRADO",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "EXECUTIVE SECRETARY",
        "authorized_official_telephone_number": "718-722-6123",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01128858",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Albans, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.